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In the past, many people with narcolepsy had symptoms for years before they got an accurate diagnosis. Often, they fake ugg boots for cheap were told that spotting fake ugg boots pictures they were lazy and unmotivated. Undiagnosed narcolepsy can have devastating effects on academics and work. Sometimes it was misdiagnosed as depression, drug abuse or, when hallucinations were reported, fake ugg boots uk schizophrenia. I have seen patients with a clear history of cataplexy who were told they had seizure disorders or syncopal (fainting) episodes.
The good news is that narcolepsy is better recognized now by general practitioners. Certainly a sleep doctor would be suspicious usually at the first interview if a person had some key symptoms. We test for it by doing an overnight sleep study (polysomnogram) to rule out other more common sleep disorders such as obstructive sleep apnea, and to ensure that patients have adequate sleep for the study that we run the next day which is called a MSLT (multiple sleep latency test). We also call this a nap study, because we ask patients to get into bed every two hours and try to nap. We calculate if they fall asleep, how fast ugg boots metal logo fake they fall asleep and whether they have REM sleep.
Narcolepsy is really a disorder of sleep state instability or, another way to put it is, there is slippage between wake and REM sleep specifically. All the symptoms can be understood as manifestations of REM intruding into daytime wakefulness, but also we know that wake intrudes into sleep. People with narcolepsy have very disrupted sleep and little slow wave sleep, which is the deepest sleep.
Narcolepsy affects somewhere between 0.025 0.05percent of the population. Many people will tell me that they think that, for example, their grandfather had narcolepsy because he could fall asleep "any time, anywhere." Given how rare narcolepsy is, it is more likely that he had sleep apnea which can make people so tired they have sleep attacks that resemble narcoleptic sleep episodes. Narcolepsy symptoms usually appear in teens and young adults, although there are many reports of people developing fake ugg boots mens this disorder later in life.
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